| NPI | 1548506694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R MCCOMSEY Registered Dietitian, Nutritionist 484-881-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81945) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |